GIORGI BERULAVA (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1780954982

GIORGI BERULAVA (MD) is a healthcare provider. based in Dallas, Texas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 17490 (NV). The NPI Number for GIORGI BERULAVA (MD) is 1780954982

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
GIORGI BERULAVA (MD)
NPI
1780954982
Phone
(336) 387-2566
Address
1355 RIVER BEND DR
Enumeration Date
4 January 2012
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3363872566
Graduation Year
2002 (24 years ago)
PAC ID
1658638259
Group Practice PAC ID
6406833094
Professional Enrollment ID
I20171207002108
Address ID
NV895034548RE235XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

82 PATHOLOGY in NV

Provider Addresses for GIORGI BERULAVA (MD)

  • 1355 RIVER BEND DR

    DALLAS, TX 752474915

    Phone: (336) 387-2566

    Type: Mailing

  • 343 ELM ST STE 206

    RENO, NV 895034538

    Phone: (775) 746-3400

    Fax: (775) 746-3411

    Type: Location

  • PO BOX 25

    BROOKLYN, NY 112030025

    Phone: (347) 876-0269

    Type: Mailing

  • 441 CLARKSON AVE APT 730

    BROOKLYN, NY 112032054

    Phone: (347) 876-0269

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171207002108IPathologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity438221$0
88342Special stained specimen slides to examine tissue, initial procedure2119$0
View full utilization report →

Insurance plans in this area (ZIP 75247)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406833094View full group profile
NameSpecialtyState
P A T H O L O G YNV
P A T H O L O G YFL
P A T H O L O G YNV
P A T H O L O G YNV

Reviews

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Frequently asked questions

What is the standard ID for GIORGI BERULAVA (MD) in the U.S.?
In the U.S., GIORGI BERULAVA (MD) is identified by NPI 1780954982.
Is GIORGI BERULAVA (MD) currently accepting referrals based on NPI status?
Registry metadata lists GIORGI BERULAVA (MD) as active.
What does the directory say GIORGI BERULAVA (MD) does?
Insurance directories may phrase it differently, but here GIORGI BERULAVA (MD) maps to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to GIORGI BERULAVA (MD)?
GIORGI BERULAVA (MD) shows a connection to Dallas, Texas in registry-derived data.
Who maintains GIORGI BERULAVA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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